Most conversations about electronic health records in corrections focus on go-live day: the cutover, the migration, the first login. That’s the easy part to talk about. The harder, less-told story is what happens in the years after: the software support, the system enhancements, the new integrations, the workflow changes as a facility’s population or mission shifts, and the modernization work that keeps a platform current a decade into a relationship.

That’s the story behind Fusion’s work today. Our technology is currently in use across 38 state departments of correction, with 12 of those states running FusionEHR specifically as their enterprise platform, plus 27 state juvenile detention and city/county detention centers relying on Fusion Healthtech solutions. Altogether, that footprint supports more than 1,000 care settings, over one million patients, and more than 50,000 users nationwide. Numbers like that don’t happen through one-time implementations: they happen because states keep renewing, expanding, and building on what’s already working.

A few examples show what that looks like in practice.

• The Ohio Department of Rehabilitation and Correction, the fifth-largest state prison system in the country, selected Fusion to replace its legacy eClinicalWorks system statewide, a deployment supporting roughly 50,000 individuals in custody and 2,000+ concurrent users across 25 correctional institutions, including historical clinical data migration and interfaces to the Offender Management System, pharmacy, laboratory, radiology, hospital networks, and the state Health Information Exchange.
• The Florida Department of Corrections, the third-largest state prison system, selected Fusion to deploy an enterprise EHR across more than 128 facilities and nearly 100,000 individuals in custody. Years into that relationship, Fusion continues to provide 24x7x365 support.
• The Hawaii Department of Corrections and Rehabilitation selected Fusion to replace legacy eClinicalWorks across its geographically dispersed facilities on Hawaii, Kauai, Maui, and Oahu — a partnership that required migrating years of historical clinical, medication, allergy, problem-list, laboratory, and immunization data into a single, unified record spanning the islands.
• The Illinois Department of Corrections selected Fusion — over a competitive field that included Oracle Health (then Cerner) — to deploy FusionEHR across all 29 of its correctional facilities, supporting a federal consent decree that requires measurable, auditable improvement in the delivery, oversight, and documentation of healthcare for more than 30,000 individuals in custody.

Fusion’s long-term correctional partnerships stop at implementation. Once a platform is live, the real work becomes keeping it that way — patching and supporting the software, rolling out new features, plugging in new integrations, fine-tuning workflows as staff needs change, and modernizing the platform as facilities evolve.